Evidence map›Paper›PMID 33979402›Full record

ArticlePloS one2021

Clinical profile and factors associated with COVID-19 in Yaounde, Cameroon: A prospective cohort study.

Nicole Fouda Mbarga, Emilienne Epee, Marcel Mbarga, Patrick Ouamba, Herwin Nanda, Aristide Nkengni, Joseph Guekeme, Justin Eyong, Sylvie Tossoukpe, Sauvia Noumedem Sosso and 15 more

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
1.3field-weighted citation impact, top 17% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 23 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

25 authors at 6 institutions in 3 countries.

Nicole Fouda MbargaAfyabora consortium, University of Buea, Buea, Cameroon.ORCID 0000-0002-0508-8027
Emilienne EpeePublic Health Emergency and Operations Centre (PHEOC), Ministry of Public Health, Yaounde, Cameroon.
Marcel MbargaKorea University, Seoul, South Korea.ORCID 0000-0003-4988-3804
Patrick OuambaMedecins Sans Frontieres, Yaounde, Cameroon.
Herwin NandaMedecins Sans Frontieres, Yaounde, Cameroon.
Aristide NkengniMedecins Sans Frontieres, Yaounde, Cameroon.
Joseph GuekemeMinistry of Public Health, Yaounde, Cameroon.
Justin EyongCatholic University of Central Africa, Yaounde, Cameroon.
Sylvie TossoukpeMedecins Sans Frontieres, Yaounde, Cameroon.
Sauvia Noumedem SossoEPC Djoungolo Hospital, Yaounde, Cameroon.
Engelbert Ngono NgonoMinistry of Public Health, Yaounde, Cameroon.
Lazare Mbala NtsamaEPC Djoungolo Hospital, Yaounde, Cameroon.
Landry BonyomoMinistry of Public Health, Yaounde, Cameroon.
Patrick TchatchouaRegional Delegation of Public Health for the Centre, Yaounde, Cameroon.
Noel VogueRegional Delegation of Public Health for the Centre, Yaounde, Cameroon.
Steve MetombRegional Delegation of Public Health for the Centre, Yaounde, Cameroon.
Franck AleMedecins Sans Frontieres, Dakar, Senegal.
Moussa OusmanMedecins Sans Frontieres, Dakar, Senegal.
Dorian JobMedecins Sans Frontieres, Dakar, Senegal.
Charlotte MoussiRegional Delegation of Public Health for the Centre, Yaounde, Cameroon.
Modeste TamakloeMedecins Sans Frontieres, Yaounde, Cameroon.
Jessica E HabererCenter for Global Health, Massachusetts General Hospital, Boston, Massachusetts, United States of America.
Sylvester Ndeso AtangaAfyabora consortium, University of Buea, Buea, Cameroon.
Gregory Halle-EkaneAfyabora consortium, University of Buea, Buea, Cameroon.
Yap BoumPublic Health Emergency and Operations Centre (PHEOC), Ministry of Public Health, Yaounde, Cameroon.
Ministry of Public Health · CMUniversity of Buea · CMYaoundé Gynaecology, Obstetrics and Pediatrics Hospital · CMCatholic University of Central Africa · CMHarvard University · USKorea University · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundA year after the COVID-19 pandemic started, there are still few scientific reports on COVID-19 in Africa. This study explores the clinical profiles and factors associated with COVID-19 in Cameroon. MATERIALS AND

methodsIn this prospective cohort study, we followed patients admitted for suspicion of COVID-19 at Djoungolo Hospital between 01st April and 31st July 2020. Patients were categorised by age groups and disease severity: mild (symptomatic without clinical signs of pneumonia), moderate (with clinical signs of pneumonia without respiratory distress) and severe cases (clinical signs of pneumonia and respiratory distress not requiring invasive ventilation). Demographic information and clinical features were summarised. Multivariable analysis was performed to predict risk.

findingsA total of 313 patients were admitted during the study period; 259 were confirmed cases of COVID-19 by Polymerase Chain Reaction (PCR). Among the confirmed cases, the male group aged 40 to 49 years (13.9%) was predominant. Disease severity ranged from mild (26.2%; n = 68) to moderate (59%; n = 153) to severe (14.7%; n = 38); the case fatality rate was 1% (n = 4). Dysgusia (46%; n = 119) and hyposmia/anosmia (37.8%; n = 98) were common features of COVID-19. Nearly one-third of patients had comorbidities (29%; n = 53), of which hypertension was the most common (18.9%; n = 49). Participation in mass gatherings (Odds Ratio (OR) = 2.37; P = 0.03) and dysgusia (OR = 2.09, P = 0.02) were predictive of diagnosis of COVID-19. Age groups 60 to 69 (OR = 7.41; P = 0.0001), 50 to 59 (OR = 4.09; P = 0.03), 40 to 49 (OR = 4.54; P = 0.01), male gender (OR = 2.53; P = 0.04), diabetes (OR = 4.05; P = 0.01), HIV infection (OR = 5.57; P = 0.03), lung disease (OR = 6.29; P = 0.01), dyspnoea (OR = 3.70; P = 0.008) and fatigue (OR = 3.35; P = 0.02) significantly predicted COVID-19 severity.

conclusionsMost COVID-19 cases in this study were benign with low fatality. Age (40-70), male gender, HIV infection, lung disease, dyspnoea and fatigue are associated with severe COVID-19. Such findings may guide public health decision-making.

Indexed as

AdultAgedCameroonCohort StudiesComorbidityCOVID-19Diabetes MellitusDyspneaFatigueFemaleHIV InfectionsHospitalizationHumansMaleMiddle AgedPandemics

Identifiers

PMID33979402
PMCPMC8115782
OpenAlexW3162808480

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.